HomeMy WebLinkAbout15-100592 Electrical
City aFederal
� Way
DServices Permit #: 15-100592-00-EL
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2809 F1
Project Name: FORGEY
Project Address: 2426 SW 329TH ST Parcel Number. 894510 0530
Project Description: 0-200 panel replacement
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Owner Applicant Contractor
AMANDA FORGEY AMANDA FORGEY OWNER IS CONTRACTOR
2426 SW 329TH ST 2426 SW 329TH ST
FEDERAL WAY,WA 98023 FEDERAL WAY,WA 98023
Additional Permit Information
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Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder.0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, August 5, 2015
Permit Issued on Friday, February 6, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent .� Date: Z-76 7 I
o
THIS CARD IS TOOMAIN ON-SITE '
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Federal WayConstruction Inspection Record •
INSPECTION REQUSTS: (253)835-3050
PERMIT#: 15-100592-00-EL Address: 2426 SW 329TH ST
Project: AMANDA FORGEY FEDERAL WAY, WA 98023-2826 '
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By 0 Q� Date 3-i b—ti s
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By �piv Date 3 L
k
El Rough ElectricalID Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
,; EL CTRICAL
CITY OF
" Federal Way PERMIT APPLICATION
PERMIT NUMBER e_ 1 0 0 5 92_ 00 FEB 06 2015
RETl ►L WAY
SITE ADDRESS: 2 Z(y s 3
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PROJECT VALUATION ASSESSOR'S TAX/ ARCEL M CURRENT/PROPOSED USE
$ ZX g� 5 1 2 - 0 5 �
PROJECT NAME
(Tenant or Homeowner Last Name) c() 'G eY
PROJECT DESCRIPTION Chav3 e, TIAck
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Aln4Ad4 70,E 1 ( Zo(s )(g S3 - S4 2 3
MAILING ADDRESS E-MAIL
ZK LL S v 3 Z4 tcfr s4'
CITY STATE ZIP FAX
Vede/c,t WCr( 1i./A of goz3 ( )
•... NAME -- ---- - PRIMARY PHONE
Owner ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL SG'^4't,
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
__.. _ _ __
NAME PRIMARY PHONE
vin )
APPLICANT MAILING ADDRESS E-MAIL
SGIMt
CITY STATE ZIP ( FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Zl c16-• "Tz. nA0.0 ( 2s 3 ) 7 - 7&3 if
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
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SIGNATURE: 2/-Z".11' DATE
PRINT NAME: Z'ChGIU ct°t11i14v
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
